| NPI | 1013961945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL GROEBER Director Of Finance & It 937-328-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: 1039, 2578) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 3271) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2021-06-23 |